| NPI | 1609510809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HALE Director Of Finance 816-786-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2022-11-30 |